Journal article
Does acute care for the elderly (ACE) unit decrease the incidence of falls?
Geriatric nursing (New York), Vol.39(3), pp.292-295
05/2018
DOI: 10.1016/j.gerinurse.2017.10.011
PMID: 29137820
Abstract
To determine whether acute care for the elderly (ACE) units decrease the incidence of patient falls compared to general medical and surgical (GMS) units, a non-concurrent prospective study included individuals aged 65 and older admitted to ACE or GMS units over a 2-year span was done. There were 7069 admissions corresponded to 28,401 patient-days. A total of 149 falls were reported for an overall incidence rate (IR) of 5.2 falls per 1000 patient-days, 95% CI, 4.4/1000-6.1/1000 patient-days. The falls IR ratio for patients in ACE unit compared to those in non-ACE units after adjusting for age, sex, prescribed psychotropics and hypnotics, and Morse Fall Score was 0.27/1000 patient-days; 95% CI, 0.13-0.54; p < 0.001. So, an estimated 73% reduction in patient falls between ACE unit and non-ACE units. Hospitals may consider investing in ACE units to decrease the risk of falls and the associated medical and financial costs.
Details
- Title: Subtitle
- Does acute care for the elderly (ACE) unit decrease the incidence of falls?
- Creators
- Ahmed Abdalla - Internal Medicine Residency Program, Hurley Medical Center, Michigan State University, 1 Hurley Plaza, Flint, MI 48503, USA. Electronic address: aabdall2@hurleymc.comMehul Adhaduk - Internal Medicine Residency Program, Hurley Medical Center, Michigan State University, 1 Hurley Plaza, Flint, MI 48503, USARaad A Haddad - Internal Medicine Residency Program, Hurley Medical Center, Michigan State University, 1 Hurley Plaza, Flint, MI 48503, USAYanal Alnimer - Internal Medicine Residency Program, Hurley Medical Center, Michigan State University, 1 Hurley Plaza, Flint, MI 48503, USACarlos F Ríos-Bedoya - Internal Medicine Residency Program, Hurley Medical Center, Michigan State University, 1 Hurley Plaza, Flint, MI 48503, USAGhassan Bachuwa - Internal Medicine Residency Program, Hurley Medical Center, Michigan State University, 1 Hurley Plaza, Flint, MI 48503, USA
- Resource Type
- Journal article
- Publication Details
- Geriatric nursing (New York), Vol.39(3), pp.292-295
- DOI
- 10.1016/j.gerinurse.2017.10.011
- PMID
- 29137820
- ISSN
- 0197-4572
- eISSN
- 1528-3984
- Language
- English
- Date published
- 05/2018
- Academic Unit
- General Internal Medicine; Internal Medicine
- Record Identifier
- 9984094526102771
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